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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370518
Report Date: 09/27/2019
Date Signed: 09/27/2019 11:14:44 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LOVE 2 LEARN PRESCHOOLFACILITY NUMBER:
304370518
ADMINISTRATOR:J. MARTINEZ & A.WIJEMANNEFACILITY TYPE:
850
ADDRESS:1200 WEST 17TH STREETTELEPHONE:
(714) 834-1966
CITY:SANTA ANASTATE: CAZIP CODE:
92706
CAPACITY:74CENSUS: DATE:
09/27/2019
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Director Jose Martinez TIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Barajas, conducted a visit to the facility for the purpose of conducting an interview with a child for a complaint that occurred at another facility.

Exit interview was conducted.

SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Leonor BarajasTELEPHONE: (714) 703-2825
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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